Kuchinja kwepyiyo ndiyo inowanzoshandiswa pakuvhiya muviri. Izvo zvinowanikwa nehuwandu hwakawanda hwekusingaperi renal kusakwanisa, izvo zvinogona kuva mugumisiro wezvirwere zvakadaro sekusingaperi glomerulonephritis , chisingarapiki pyelonephritis, chirwere chepurocystic yepfungwa, nezvimwewo. Kuchinja kwepvo kunogona kudiwa mu chirwere cheshuga mellitus apo zvinetso zvechirwere ichi zvinoparadza itsvo.
Kuchengetedza hupenyu, varwere vakadaro vari kubatsiririra kurapa kwechirwere, izvo zvinosanganisira kusingaperi uye peritoneal hemodialysis. Asi kana ichienzaniswa nemasarudzo aya, kupisa kwepvo kunobatsira zvikuru mukurarama kwenguva refu.
Kushanda kwepimpano kupindira
Inso inogona kudhindwa kubva kune imwe hama yechizvarwa (yakabatana nehutachiona hwekupora), i.e. vabatsiri vanogona kuva vabereki, hama, hanzvadzi kana vana vemunhu anorwara. Mukuwedzera, kutapurika kunokwanisika kubva kune umwe munhu chero upi zvake (kusanganisira akafa), kunze kwekuti masangano eropa uye mazita ezvibonde zvinowirirana. Chimwe chiitiko chinokosha chekugonekana kupa chipo ndechokushayikwa kwezvirwere (HIV, hepatitis, heart failure, etc.). Nzira yekugadziriswa kwechirongwa inotungamirirwa nemutemo.
Kuchinja kwepyiyo kunoitwa mumatanho maviri:
- Donor stage. Panguva ino, kusarudzwa kweanopa, kuongorora uye kuenzanisa zvidzidzo. Kuti abvise tsitsi kune munhu anopa zvipo, a laparoscopic donor nephrectomy (kusvitsa mafungiro) kana kuti nephrectomy yevhangeri yakasununguka inoitwa. Mubatsiri anoshanda pashure pekuita anoshanda nekuongorora kutsva kweimpimpano. Uyezve, iyo inopindurirwa tsvina inoshambidzwa neyakagadzirisa zvinogadziriswa uye yakakonzerwa mumasvikiro chaiwo anobvumira kuchengetedza kugona kwechirongwa. Nguva yekuchengetwa kwemafurati inobva kune rudzi rwekuchengetedza mhinduro - kubva maawa 24 kusvika ku 36.
- Mutori nguva. Iro rinopa rupiro rinowanzoendeswa muareamu. Uyezve, nhengo yacho inobatanidza nerereter nemidziyo, sutures inowanikwa pachironda. Munguva yekushanda, mushonga wepachirwere wemurwere hausi kubviswa.
Migumisiro (zvinetso) zveinso kupindira:
- itsvo rejection;
- thrombosis ye arteri yeinso;
- kubuda ropa;
- venous thrombosis;
- fistula;
- urological matambudziko;
- ronda ronda, nezvimwewo.
Upenyu mushure mekufunga kwepvo
Hupenyu hunotarisirwa mushure mekugadziriswa kwepvo munhu mumwe nomumwe munyaya imwe neimwe uye kunobva kune zvakasiyana-siyana zvezvinhu (kuvapo kwezvirwere zvinokonzera, hutachiona, nezvimwewo). Inso inotanga kushanda zvizere mushure mamazuva mashomanana mushure mekushanda. Izvo zvinokonzera kukanganisa kwenhema zvinonyangarika mushure memavhiki mashomanana, maererano nezvinoitika mushure mekushanda, nguva dzakawanda dzehemodialysis dzinoitwa.
Kuchengetedza kukanganisa kwemuviri (maune immune anozviona semumwe mutorwa), murwere anoda kutora immunosuppressants kwechinguva.
Pasinei neizvi, kuchinja kwepvo kunobatsira zvikuru hupenyu uye hunovandudza hutano hwavo, hunoonekwa nevarwere vose vakazovhiyiwa. Zvakakoshawo kuziva kuti mushure mokunge chirwere chepachiviri chekuita pamuviri chinogoneka, zvisinei, kunyatsocherechedza zvakanyatsoratidzwa nemudzimai wegynecologist, nephrologist, kazhinji kuongororwa.